DescriptionYOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!Patient Access Specialist I - AdventHealth Winter GardenLocation Address: 2000 Fowler Grove Boulevard, Winter Garden, FL 34787Top Reasons to work at AdventHealth Winter Garden
AdventHealth Winter Garden is a state-of-the-art emergency facility featuring board-certified physicians trained in the care of both adults and children
The 97,415-square-foot, three-story facility opened in February 2016 across from Winter Garden Village at Fowler Groves
It is AdventHealth’s ninth campus in Central Florida. Outpatient imaging, lab, and surgical services, as well as primary care and specialty physician offices, are all available at one convenient location
Work Hours/Shift: Full Time, DaysYou Will Be Responsible For:Demonstrates, through behavior, Florida Hospital’s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.
Registers patients for services and achieves accuracy. Works patient accounts in regards to insurance identification and selection, along with required protocols associated with insurance selection. Ensures timely discharge is facilitated and reimbursement is maximized. Properly identifies patients, ensures armband accuracy, inputs demographics information, and secures the required forms to ensure compliance with regulatory policies.
Creates accurate good faith estimates in an effort to maximize up-front cash collections, in addition to, adding collection documentation where required. Meets or exceeds upfront collection standard goal, assigned to location of responsibility, to protect financial standing of Florida Hospital. Proactively seeks assistance to improve collections. Reviews all collection reports timely, as assigned by leadership. Ensures all financial assessments, eligibility, and benefits memos are clear, updated and thorough to support post care financial needs. Performs cashiering functions, such as, daily batching and cash reconciliation with accuracy in support of the pre-established legal and financial guidelines of Florida Hospital, when required.
Ensures all financial assessments, eligibility, and benefits memos are clear, updated and thorough to support post care financial needs. Uses utmost caution that authorizations and pre-certifications are correct and as accurate as possible to avoid rejections and/or denials. Maintains a current and thorough knowledge of utilizing online eligibility and pre-certification tools made available.
Achieves productivity standard by monitoring patient tracking board to proactively identify patients that require registration to be completed. Ensures patient demographics and account information is appropriate for account type as directed. Uses utmost caution in patient and employee safety by following established guidelines, such as, hand washing and following contact precautions.
Accountable for maintaining a working relationship with clinical partners to ensure open communication between clinical, ancillary and patient access departments, and enhances patient experiences.
QualificationsWhat You Will Need:Required:
Working knowledge of Microsoft programs and familiarity with database programs
Ability to operate general office machines such as computers, facsimiles, copiers, and scanners
Ability to be responsive to ever-changing matrix of hospital needs and act accordingly
Ability to follow complex instructions and procedures, with a close attention to detail
One (1) or more years of customer services experience
One (1) or more years of customer services experience
Associate degree and/or higher-level education, or completed coursework, in Health Services Administration or other related medical or business field
Knowledge of computer programs, such as Cerner
Basic knowledge of medical terminology
Exposure to insurance benefits; ability to decipher insurance benefit information
Prior collections experience
National Association of Healthcare Access Management Certified Healthcare Access Associate
Job Summary:The Patient Access (PA) Specialist I, under supervision, registers patients for service types. Meets or exceeds collection standard by timely verification of insurance benefits, when applicable, and determines financial responsibility to the hospital. Creates good faith estimate of patients’ financial responsibility, and documents all attempts accordingly. Meets or exceeds accuracy standard goals. Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments. Actively participates in extending exemplary service to both internal and external customers and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to AdventHealth Corporate Compliance Plan to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.